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脑栓塞合并脑疝,单纯用保守治疗、死亡率很高,我科1983年2月用开颅减压术抢救成功一例,鉴于国内尚少有报导,现报告如下: 患者鞠某,女性、40岁,于1983年2月22日上午11时突然不会说话,右侧肢体偏瘫,尿失禁发病,当时在本地对症处理,下午2时入院。患风湿性心脏病已三年。入院时检查:精神萎靡,在中枢性面瘫,双眼向左共同偏视,双瞳孔等大,对光反应良好,右上肢屈曲,有抽动,肌张力增强,肌力“0”级,右Babinski氏征阳性,心尖博动弥散,可触及震颤,心尖区可闻及双期杂音、(Ⅳ级)粗糙,心电图表示房颤。
Cerebral embolism combined with hernia, simply conservative treatment, the mortality rate is very high, our department in February 1983 with craniotomy decompression surgery a successful case, given the few reports in China, the report is as follows: patients Ju Mou, female, 40 Year old, at 11:00 on February 22, 1983 suddenly did not speak, the right hemiplegia, urinary incontinence, was symptomatic treatment in the local at 2:00 in the hospital. Has been suffering from rheumatic heart disease for three years. Admission examination: apathetic, paralyzed in the central face, both eyes left common prejudice, double pupil and other large, good response to light, right upper limb flexion, twitching, muscle tone enhancement, muscle strength “0” level, right Babinski’s Positive sign, apex disperse, palpable tremor, apex area can be heard and double noise, (Ⅳ grade) rough, atrial fibrillation.